Velarion Records

Children's hospital · Miami, Florida · 278 beds · CMS certification number 103301

Nicklaus Children's Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, amended, stamped by CMS July 14, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$927.4M
$927,374,361 · G-3 line 3
Operating expenses
$893.9M
$893,943,189 · G-3 line 4
Result from patient care
$33.4M
$33,431,172 · G-3 line 5
Margin on patient care
3.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $158.9M in its first year on file (1996) to $927.4M in 2025.
  • Its result from patient care: −$822.2M (2023), $74.9M (2024), $33.4M (2025).
  • 3 of the 5 children's hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 7.3% of its inpatient days and Medicare for 0.3%.
  • MIAMI CHILDREN'S HEALTH SYSTEM INC holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
reopened
$158.9M
$182.0M
1997
reopened
$162.2M
$178.1M
1998
reopened
$167.2M
$185.8M
1999
settled
$352.1M
$182.7M
2000
reopened
$201.9M
$191.8M
2001
settled
$424.3M
$209.0M
2002
settled
$225.7M
$256.3M
2003
settled
$255.9M
$269.3M
2004
settled
$288.6M
$302.0M
2005
settled
$280.8M
$308.1M
2006
settled
$303.2M
$332.9M
2007
settled
$331.9M
$353.1M
2008
reopened
$341.5M
$361.5M
2009
reopened
$382.9M
$396.3M
2010
reopened
$402.6M
$417.2M
2011
settled
$436.3M
$449.7M
2012
reopened
$456.8M
$469.9M
2013
settled
$507.1M
$508.6M
2014
settled
$545.8M
$543.3M
2015
reopened
$561.9M
$544.7M
2016
settled
$585.9M
$558.4M
2017
reopened
$609.1M
$626.5M
2018
settled
$588.5M
$620.4M
2019
settled
$554.0M
$671.3M
2020
reopened
$490.7M
$635.9M
2021
settled
$714.9M
$641.6M
2022
settled
$769.3M
$726.9M
2023
settled
not filed
$822.2M
2024
as submitted
$959.8M
$884.8M
2025
amended
$927.4M
$893.9M

Beside its peers

Hospitals of the same type (children's hospital), nearest in size, from Florida first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Nicklaus Children's Hospital278$927,374,361$893,943,1893.6%
Childrens Hospital of Wisconsin, Milwaukee (WI)309$1,014,821,800$947,567,0776.6%
Johns Hopkins All Children's Hospital, St. Petersburg259$821,711,577$833,181,733−1.4%
Kapiolani Medical Center for Women & Children, Honolulu (HI)253$451,050,641$439,180,9872.6%
Nemours Childrens Hospital, Florida, Orlando135$467,061,866$455,648,3642.4%
University Hospitals Rainbow Babies & Children�S, Cleveland (OH)262$2,724,922,022$2,944,628,753−8.1%

Patients and payers

Discharges
10,302
S-3 line 14, col 15
Inpatient days
58,296
S-3 line 14, col 8
Beds in use, on an average day
160.2
days ÷ days in year
Occupancy
57.5%
days ÷ bed days
Medicare share of days
0.3%
S-3 cols 6 ÷ 8
Medicaid share of days
7.3%
S-3 cols 7 ÷ 8

Who owns it

  • MIAMI CHILDREN'S HEALTH SYSTEM INC100%

Related organizations on its own cost report: NCHS, hospital system.

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Variety Children's Hospital (employer identification number 590638499) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$67,103,493IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$2,929,628IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$0IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$10,658,927IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$56,444,566IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.082IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202443129349302594. The IRS archive it was read from.

Follow this hospital, free

We send this record now and tell you when it files again.

More children's hospitals in Florida

From the publisher of Velarion Records

Velarion Intel

Independent Decision-Grade Intelligence

Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.

See what Intel shows

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 103301. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read July 14, 2026.